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HEDIS Clinical Quality Practice Advisor

Company: A-Line Staffing Solutions
Location: Cypress
Posted on: January 12, 2021

Job Description:

A Quality Practice Advisor is needed for a major managed care company in Cypress, CA!6 month seasonal HEDIS opportunityRemote to start, will be in office when restrictions are lifted. Will not be considered if not local to Cypress, CAPosition Purpose:* Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment.* Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards.* Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding.* Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.Job Requirements:Requirements;* Education/Experience: Bachelor's degree or equivalent required.* 3+ years of experience in HEDIS record collection and risk adjustment (coding)License/Certification:* One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ.

Keywords: A-Line Staffing Solutions, Cypress , HEDIS Clinical Quality Practice Advisor, Other , Cypress, California

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